2023年3月1日 · Posterior nasal packing is performed to achieve hemostasis in cases of epistaxis from a suspected source located posteriorly in the nasal cavity. Packing is generally performed in the emergency department, commonly using balloon catheters.

2016年10月6日 · Posterior Nasal Packing While rarely employed in the emergency department secondary to its difficulty in application, posterior nasal packing is also cited in the literature as a mechanism of controlling posterior epistaxis. 2,3

A posterior nasal pack aims to produce choanal obstruction and tamponade along with anterior packing. It is always placed with anterior packing. Some manufacturers produce double-balloon inflatable packs which are simpler to insert (Rapid Rhino 900® or Invotec Ultra Stat®).

2018年8月15日 · Posterior nasal packing is often associated with pain and a risk of aspiration if it is dislodged. After stabilization, patients with posterior packing often require referral to...

2005年1月15日 · Treatments to be considered include topical vasoconstriction, chemical cautery, electrocautery, nasal packing (nasal tampon or gauze impregnated with petroleum jelly), posterior gauze packing,...

2017年9月27日 · Many patients with posterior epistaxis will be managed with a posterior pack and admitted for further monitoring. Traditional teaching argues that patients with anterior packs should be given prophylactic antibiotics to prevent serious infectious complications.

Posterior packing introduces compressive material to the nasopharynx and posterior nasal cavity using a balloon or Foley catheter. 6,12 This can cause an excessive pressure and consequently cause a necrosis of the nasal septum.

2020年12月9日 · A posterior pack is placed to occlude the choanal arch and, in conjunction with an anterior nasal pack, provide hemostasis. Posterior packing can be accomplished with gauze, a Foley...

2019年4月1日 · An alternative technique may improve posterior nosebleed management. The placement of expandable sponge or balloon packing has largely supplanted horizontally-layered gauze due to ease of use.

Epistaxis that persists without an evident anterior nasal source is most often caused by a posterior bleeding site. Posterior bleeding is sometimes controlled using topical vasoconstrictors. If not, it usually requires treatment with nasal packing.